Document Detail


Resolution of peri-implantitis following treatment. An experimental study in the dog.
MedLine Citation:
PMID:  10522179     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of the present experiment was i) to study the effect of anti-microbial therapy of experimentally induced peri-implantitis lesions and ii) to assess features of bone regrowth following treatment. Four beagle dogs were used. Three titanium fixtures (Brånemark System) were installed in each quadrant of the mandible (premolars previously extracted). Abutment connection was performed 5 months later and ligature induced breakdown was initiated. The ligatures were removed when approximately 50% of the initial bone support was lost. A 3-week antibiotic regimen (amoxicillin and metronidazole) was initiated 1 month later. Two days after the start of the antibiotic administration, the experimental implant sites were exposed to local therapy. The abutments were removed and the exposed fixture surfaces were treated with an abrasive (pumice) administered via a rotating brush (left side) or cleaned with cotton pellets soaked in saline (right side). Cover screws were attached to the fixtures and the implants were submerged. Fluorochromes were injected intravenously 2 weeks, 4 weeks and 12 weeks after surgery. The animals were killed 7 months after surgery and block biopsies of each implant site were dissected and prepared for histological analysis. The findings of the examinations disclosed that the inflammatory lesion was resolved and new bone formation had occurred in the previous defect following antimicrobial and local therapy. The amount of "re-osseointegration" that had taken place, however, was small. Indeed, at all experimental implant sites, a thin connective tissue capsule was found to separate the implant surface from the newly formed bone.
Authors:
L G Persson; M G Araújo; T Berglundh; K Gröndahl; J Lindhe
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical oral implants research     Volume:  10     ISSN:  0905-7161     ISO Abbreviation:  Clin Oral Implants Res     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-10-20     Completed Date:  1999-10-20     Revised Date:  2003-11-14    
Medline Journal Info:
Nlm Unique ID:  9105713     Medline TA:  Clin Oral Implants Res     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  195-203     Citation Subset:  D    
Affiliation:
Department of Periodontology, Göteborg University, Sweden. leif.persson@odontologi.gu.se
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Administration, Topical
Alveolar Bone Loss / therapy
Amoxicillin / therapeutic use
Animals
Anti-Bacterial Agents / administration & dosage*
Anti-Infective Agents / therapeutic use
Bone Regeneration
Dental Implants / adverse effects*
Dental Plaque / complications
Dogs
Implants, Experimental / adverse effects*
Metronidazole / therapeutic use
Osseointegration
Periodontitis / drug therapy*,  etiology*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Anti-Infective Agents; 0/Dental Implants; 26787-78-0/Amoxicillin; 443-48-1/Metronidazole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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